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Published in: Endocrine 1/2022

Open Access 08-06-2022 | Pituitary Adenoma | Original Article

Distribution of E- and N-cadherin in subgroups of non-functioning pituitary neuroendocrine tumours

Authors: Kristin Astrid B. Øystese, Olivera Casar-Borota, Jon Berg-Johnsen, Jens Petter Berg, Jens Bollerslev

Published in: Endocrine | Issue 1/2022

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Abstract

Purpose

Clinically non-functioning pituitary neuroendocrine tumours (NF-PitNETs) present a varying degree of aggressiveness, and reliable prognostic markers are lacking. We aimed to characterise the distribution of E- and N-cadherin in corticotroph, PIT1 and null-cell NF-PitNETs, and link it to the course of the tumours.

Methods

The distribution of E- and N-cadherin was investigated by immunohistochemistry in a retrospective cohort of 30 tumours of the less common NF-PitNETs (corticotroph (N = 18), PIT1 (N = 8) and null-cell PitNETs (N = 4)). Immunoreactive scores (IRS) were compared to previously presented cohorts of gonadotroph NF-PitNETs (N = 105) and corticotroph functioning PitNETs (N = 17).

Results

We found a low IRS for the extra-cellular domain of E-cadherin (median 0 (IQR 0–0, N = 135)), a medium to high IRS for the intra-cellular domain of E-cadherin (median 6 (IQR 4–9)) and a high IRS for N-cadherin (median 12 (IQR 10.5–12)) throughout the cohort of NF-PitNETs. The corticotroph NF-PitNETs presented a higher IRS for both the extra- and intra-cellular domain of E-cadherin (median 0 (IQR 0–1) and median 9 (IQR 6–12), respectively) than the gonadotroph NF-PitNETs (p < 0.001 for both comparisons). Presence of nuclear E-cadherin was associated with a weaker staining for the intra-cellular domain of E-cadherin (median 4 (IQR 0.5–6) and median 9 (IQR 9–12), for tumours with and without nuclear E-cadherin, respectively), and with a lower rate of re-intervention (p = 0.03).

Conclusions

Considering our results and the benign course of NF-PitNETs, we suggest that a high N-cadherin and downregulation of membranous E-cadherin are not associated with a more aggressive tumour behaviour in these subgroups of NF-PitNETs.
Literature
1.
go back to reference A. Tjornstrand et al. The incidence rate of pituitary adenomas in western Sweden for the period 2001-2011. Eur. J. Endocrinol. 171(4), 519–526 (2014)PubMedCrossRef A. Tjornstrand et al. The incidence rate of pituitary adenomas in western Sweden for the period 2001-2011. Eur. J. Endocrinol. 171(4), 519–526 (2014)PubMedCrossRef
2.
go back to reference T.T. Agustsson et al. The epidemiology of pituitary adenomas in Iceland, 1955-2012: a nationwide population-based study. Eur. J. Endocrinol. 173(5), 655–664 (2015)PubMedCrossRef T.T. Agustsson et al. The epidemiology of pituitary adenomas in Iceland, 1955-2012: a nationwide population-based study. Eur. J. Endocrinol. 173(5), 655–664 (2015)PubMedCrossRef
3.
go back to reference R.Y. Osamura et al. Tumours of the pituitary gland, in WHO Classification of Tumours of Endocrine Organs, eds R.V. Lloyd (International Agency for Research on Cancer (IARC), Lyon, 2017), p. 11–63 R.Y. Osamura et al. Tumours of the pituitary gland, in WHO Classification of Tumours of Endocrine Organs, eds R.V. Lloyd (International Agency for Research on Cancer (IARC), Lyon, 2017), p. 11–63
4.
go back to reference E. Manojlovic-Gacic, B.E. Engström, O. Casar-Borota, Histopathological classification of non-functioning pituitary neuroendocrine tumors. Pituitary 21(2), 119–129 (2018)PubMedCrossRef E. Manojlovic-Gacic, B.E. Engström, O. Casar-Borota, Histopathological classification of non-functioning pituitary neuroendocrine tumors. Pituitary 21(2), 119–129 (2018)PubMedCrossRef
5.
go back to reference H. Nishioka et al. The complementary role of transcription factors in the accurate diagnosis of clinically nonfunctioning pituitary adenomas. Endocr. Pathol. 26(4), 349–355 (2015)PubMedCrossRef H. Nishioka et al. The complementary role of transcription factors in the accurate diagnosis of clinically nonfunctioning pituitary adenomas. Endocr. Pathol. 26(4), 349–355 (2015)PubMedCrossRef
6.
go back to reference O. Cooper, S. Melmed, Subclinical hyperfunctioning pituitary adenomas: the silent tumors. Best. Pract. Res. Clin. Endocrinol. Metab. 26(4), 447–460 (2012)PubMedPubMedCentralCrossRef O. Cooper, S. Melmed, Subclinical hyperfunctioning pituitary adenomas: the silent tumors. Best. Pract. Res. Clin. Endocrinol. Metab. 26(4), 447–460 (2012)PubMedPubMedCentralCrossRef
7.
go back to reference K.A. Oystese et al. Estrogen receptor alpha, a sex-dependent predictor of aggressiveness in nonfunctioning pituitary adenomas: SSTR and sex hormone receptor distribution in NFPA. J. Clin. Endocrinol. Metab. 102(9), 3581–3590 (2017)PubMedCrossRef K.A. Oystese et al. Estrogen receptor alpha, a sex-dependent predictor of aggressiveness in nonfunctioning pituitary adenomas: SSTR and sex hormone receptor distribution in NFPA. J. Clin. Endocrinol. Metab. 102(9), 3581–3590 (2017)PubMedCrossRef
8.
go back to reference H. Nishioka et al. Correlation between histological subtypes and MRI findings in clinically nonfunctioning pituitary adenomas. Endocr. Pathol. 23(3), 151–156 (2012)PubMedCrossRef H. Nishioka et al. Correlation between histological subtypes and MRI findings in clinically nonfunctioning pituitary adenomas. Endocr. Pathol. 23(3), 151–156 (2012)PubMedCrossRef
9.
go back to reference F. Langlois et al. Predictors of silent corticotroph adenoma recurrence; a large retrospective single center study and systematic literature review. Pituitary 21(1), 32–40 (2018)PubMedCrossRef F. Langlois et al. Predictors of silent corticotroph adenoma recurrence; a large retrospective single center study and systematic literature review. Pituitary 21(1), 32–40 (2018)PubMedCrossRef
10.
go back to reference A. Fountas et al. Recurrence of silent corticotroph adenomas after primary treatment: a systematic review and meta-analysis. J. Clin. Endocrinol. Metab. 104(4), 1039–1048 (2018). A. Fountas et al. Recurrence of silent corticotroph adenomas after primary treatment: a systematic review and meta-analysis. J. Clin. Endocrinol. Metab. 104(4), 1039–1048 (2018).
11.
go back to reference M. Guarino, B. Rubino, G. Ballabio, The role of epithelial-mesenchymal transition in cancer pathology. Pathology 39(3), 305–318 (2007)PubMedCrossRef M. Guarino, B. Rubino, G. Ballabio, The role of epithelial-mesenchymal transition in cancer pathology. Pathology 39(3), 305–318 (2007)PubMedCrossRef
12.
go back to reference J.H. Tsai et al. Spatiotemporal regulation of epithelial-mesenchymal transition is essential for squamous cell carcinoma metastasis. Cancer Cell 22(6), 725–736 (2012)PubMedPubMedCentralCrossRef J.H. Tsai et al. Spatiotemporal regulation of epithelial-mesenchymal transition is essential for squamous cell carcinoma metastasis. Cancer Cell 22(6), 725–736 (2012)PubMedPubMedCentralCrossRef
13.
go back to reference O.H. Ocaña et al. Metastatic colonization requires the repression of the epithelial-mesenchymal transition inducer Prrx1. Cancer Cell 22(6), 709–724 (2012)PubMedCrossRef O.H. Ocaña et al. Metastatic colonization requires the repression of the epithelial-mesenchymal transition inducer Prrx1. Cancer Cell 22(6), 709–724 (2012)PubMedCrossRef
14.
go back to reference W. Jia et al. Epithelial-mesenchymal transition (EMT) markers in human pituitary adenomas indicate a clinical course. Anticancer Res. 35(5), 2635–2643 (2015)PubMed W. Jia et al. Epithelial-mesenchymal transition (EMT) markers in human pituitary adenomas indicate a clinical course. Anticancer Res. 35(5), 2635–2643 (2015)PubMed
15.
go back to reference T. Lekva et al. Gene expression profiling identifies ESRP1 as a potential regulator of epithelial mesenchymal transition in somatotroph adenomas from a large cohort of patients with acromegaly. J. Clin. Endocrinol. Metab. 97(8), E1506–E1514 (2012)PubMedCrossRef T. Lekva et al. Gene expression profiling identifies ESRP1 as a potential regulator of epithelial mesenchymal transition in somatotroph adenomas from a large cohort of patients with acromegaly. J. Clin. Endocrinol. Metab. 97(8), E1506–E1514 (2012)PubMedCrossRef
17.
go back to reference F. van Roy, G. Berx, The cell-cell adhesion molecule E-cadherin. Cell. Mol. Life Sci. 65(23), 3756–3788 (2008)PubMedCrossRef F. van Roy, G. Berx, The cell-cell adhesion molecule E-cadherin. Cell. Mol. Life Sci. 65(23), 3756–3788 (2008)PubMedCrossRef
18.
go back to reference C.Y. Loh et al. The E-cadherin and N-cadherin switch in epithelial-to-mesenchymal transition: signaling, therapeutic implications, and challenges. Cells 8(10), 1118 (2019) C.Y. Loh et al. The E-cadherin and N-cadherin switch in epithelial-to-mesenchymal transition: signaling, therapeutic implications, and challenges. Cells 8(10), 1118 (2019)
19.
go back to reference J. Hulit et al. N-cadherin signaling potentiates mammary tumor metastasis via enhanced extracellular signal-regulated kinase activation. Cancer Res. 67(7), 3106–3116 (2007)PubMedCrossRef J. Hulit et al. N-cadherin signaling potentiates mammary tumor metastasis via enhanced extracellular signal-regulated kinase activation. Cancer Res. 67(7), 3106–3116 (2007)PubMedCrossRef
20.
go back to reference M. Wang et al. N-cadherin promotes epithelial-mesenchymal transition and cancer stem cell-like traits via ErbB signaling in prostate cancer cells. Int. J. Oncol. 48(2), 595–606 (2016)PubMedCrossRef M. Wang et al. N-cadherin promotes epithelial-mesenchymal transition and cancer stem cell-like traits via ErbB signaling in prostate cancer cells. Int. J. Oncol. 48(2), 595–606 (2016)PubMedCrossRef
21.
go back to reference J. Yang et al. Guidelines and definitions for research on epithelial-mesenchymal transition. Nat. Rev. Mol. Cell Biol. 21, 341–352 (2020) J. Yang et al. Guidelines and definitions for research on epithelial-mesenchymal transition. Nat. Rev. Mol. Cell Biol. 21, 341–352 (2020)
22.
go back to reference S.L. Fougner et al. The expression of E-cadherin in somatotroph pituitary adenomas is related to tumor size, invasiveness, and somatostatin analog response. J. Clin. Endocrinol. Metab. 95(5), 2334–2342 (2010)PubMedCrossRef S.L. Fougner et al. The expression of E-cadherin in somatotroph pituitary adenomas is related to tumor size, invasiveness, and somatostatin analog response. J. Clin. Endocrinol. Metab. 95(5), 2334–2342 (2010)PubMedCrossRef
23.
go back to reference J.A. Evang et al. Reduced levels of E-cadherin correlate with progression of corticotroph pituitary tumours. Clin. Endocrinol. (Oxf.) 75(6), 811–818 (2011)CrossRef J.A. Evang et al. Reduced levels of E-cadherin correlate with progression of corticotroph pituitary tumours. Clin. Endocrinol. (Oxf.) 75(6), 811–818 (2011)CrossRef
24.
go back to reference S.L. Fougner et al. Adenoma granulation pattern correlates with clinical variables and effect of somatostatin analogue treatment in a large series of patients with acromegaly. Clin. Endocrinol. (Oxf.) 76(1), 96–102 (2012)CrossRef S.L. Fougner et al. Adenoma granulation pattern correlates with clinical variables and effect of somatostatin analogue treatment in a large series of patients with acromegaly. Clin. Endocrinol. (Oxf.) 76(1), 96–102 (2012)CrossRef
25.
go back to reference N. Chauvet et al. Combining cadherin expression with molecular markers discriminates invasiveness in growth hormone and prolactin pituitary adenomas. J. Neuroendocrinol. 28(2), 12352 (2016)PubMedCrossRef N. Chauvet et al. Combining cadherin expression with molecular markers discriminates invasiveness in growth hormone and prolactin pituitary adenomas. J. Neuroendocrinol. 28(2), 12352 (2016)PubMedCrossRef
26.
go back to reference K.A.B. Oystese et al. The role of E and N-cadherin in the postoperative course of gonadotroph pituitary tumours. Endocrine 62(2), 351–360 (2018)PubMedCrossRef K.A.B. Oystese et al. The role of E and N-cadherin in the postoperative course of gonadotroph pituitary tumours. Endocrine 62(2), 351–360 (2018)PubMedCrossRef
27.
go back to reference B. Tsuchiya et al. Differential expression of N-cadherin and E-cadherin in normal human tissues. Arch. Histol. Cytol. 69(2), 135–145 (2006)PubMedCrossRef B. Tsuchiya et al. Differential expression of N-cadherin and E-cadherin in normal human tissues. Arch. Histol. Cytol. 69(2), 135–145 (2006)PubMedCrossRef
28.
go back to reference K.A. Oystese et al. Early postoperative growth in non-functioning pituitary adenomas; a tool to tailor safe follow-up. Endocrine 57(1), 35–45 (2017)PubMedCrossRef K.A. Oystese et al. Early postoperative growth in non-functioning pituitary adenomas; a tool to tailor safe follow-up. Endocrine 57(1), 35–45 (2017)PubMedCrossRef
29.
go back to reference O. Casar-Borota et al. KIT protein expression and mutational status of KIT gene in pituitary adenomas. Virchows Arch. 460(2), 171–181 (2012)PubMedCrossRef O. Casar-Borota et al. KIT protein expression and mutational status of KIT gene in pituitary adenomas. Virchows Arch. 460(2), 171–181 (2012)PubMedCrossRef
30.
31.
go back to reference E. Sjostedt et al. A specific antibody to detect transcription factor T-Pit: a reliable marker of corticotroph cell differentiation and a tool to improve the classification of pituitary neuroendocrine tumours. Acta Neuropathol. 134, 675–677 (2017).PubMedCrossRef E. Sjostedt et al. A specific antibody to detect transcription factor T-Pit: a reliable marker of corticotroph cell differentiation and a tool to improve the classification of pituitary neuroendocrine tumours. Acta Neuropathol. 134, 675–677 (2017).PubMedCrossRef
32.
go back to reference W. Remmele, H.E. Stegner, [Recommendation for uniform definition of an immunoreactive score (IRS) for immunohistochemical estrogen receptor detection (ER-ICA) in breast cancer tissue]. Pathologe 8(3), 138–140 (1987).PubMed W. Remmele, H.E. Stegner, [Recommendation for uniform definition of an immunoreactive score (IRS) for immunohistochemical estrogen receptor detection (ER-ICA) in breast cancer tissue]. Pathologe 8(3), 138–140 (1987).PubMed
33.
go back to reference O. Casar-Borota et al. Expression of SSTR2a, but not of SSTRs 1, 3, or 5 in somatotroph adenomas assessed by monoclonal antibodies was reduced by octreotide and correlated with the acute and long-term effects of octreotide. J. Clin. Endocrinol. Metab. 98(11), E1730–E1739 (2013)PubMedCrossRef O. Casar-Borota et al. Expression of SSTR2a, but not of SSTRs 1, 3, or 5 in somatotroph adenomas assessed by monoclonal antibodies was reduced by octreotide and correlated with the acute and long-term effects of octreotide. J. Clin. Endocrinol. Metab. 98(11), E1730–E1739 (2013)PubMedCrossRef
34.
go back to reference M. Lee et al. SSTR3 is a putative target for the medical treatment of gonadotroph adenomas of the pituitary. Endocr. Relat. Cancer 22(1), 111–119 (2015)PubMedCrossRef M. Lee et al. SSTR3 is a putative target for the medical treatment of gonadotroph adenomas of the pituitary. Endocr. Relat. Cancer 22(1), 111–119 (2015)PubMedCrossRef
35.
go back to reference S. Ezzat et al. Targeting N-cadherin through fibroblast growth factor receptor-4: distinct pathogenetic and therapeutic implications. Mol. Endocrinol. 20(11), 2965–2975 (2006)PubMedCrossRef S. Ezzat et al. Targeting N-cadherin through fibroblast growth factor receptor-4: distinct pathogenetic and therapeutic implications. Mol. Endocrinol. 20(11), 2965–2975 (2006)PubMedCrossRef
36.
go back to reference J.A. Galván et al. Epithelial-mesenchymal transition markers in the differential diagnosis of gastroenteropancreatic neuroendocrine tumors. Am. J. Clin. Pathol. 140(1), 61–72 (2013)PubMedCrossRef J.A. Galván et al. Epithelial-mesenchymal transition markers in the differential diagnosis of gastroenteropancreatic neuroendocrine tumors. Am. J. Clin. Pathol. 140(1), 61–72 (2013)PubMedCrossRef
37.
go back to reference T.A. Zarka et al. Expression of cadherins, p53, and BCL2 in small cell carcinomas of the cervix: potential tumor suppressor role for N-cadherin. Int. J. Gynecol. Cancer 13(2), 240–243 (2003)PubMedCrossRef T.A. Zarka et al. Expression of cadherins, p53, and BCL2 in small cell carcinomas of the cervix: potential tumor suppressor role for N-cadherin. Int. J. Gynecol. Cancer 13(2), 240–243 (2003)PubMedCrossRef
38.
go back to reference Y. Su et al. N-cadherin functions as a growth suppressor in a model of K-ras-induced PanIN. Oncogene 35(25), 3335–3341 (2016)PubMedCrossRef Y. Su et al. N-cadherin functions as a growth suppressor in a model of K-ras-induced PanIN. Oncogene 35(25), 3335–3341 (2016)PubMedCrossRef
39.
go back to reference A. Gürlek et al. What are the markers of aggressiveness in prolactinomas? Changes in cell biology, extracellular matrix components, angiogenesis and genetics. Eur. J. Endocrinol. 156(2), 143–153 (2007)PubMedCrossRef A. Gürlek et al. What are the markers of aggressiveness in prolactinomas? Changes in cell biology, extracellular matrix components, angiogenesis and genetics. Eur. J. Endocrinol. 156(2), 143–153 (2007)PubMedCrossRef
40.
go back to reference T. Lekva et al. Attenuated RORC expression in the presence of EMT progression in somatotroph adenomas following treatment with somatostatin analogs is associated with poor clinical recovery. PLoS One 8(6), e66927 (2013)PubMedPubMedCentralCrossRef T. Lekva et al. Attenuated RORC expression in the presence of EMT progression in somatotroph adenomas following treatment with somatostatin analogs is associated with poor clinical recovery. PLoS One 8(6), e66927 (2013)PubMedPubMedCentralCrossRef
42.
go back to reference A. Hollestelle et al. Loss of E-cadherin is not a necessity for epithelial to mesenchymal transition in human breast cancer. Breast Cancer Res. Treat. 138(1), 47–57 (2013)PubMedCrossRef A. Hollestelle et al. Loss of E-cadherin is not a necessity for epithelial to mesenchymal transition in human breast cancer. Breast Cancer Res. Treat. 138(1), 47–57 (2013)PubMedCrossRef
43.
go back to reference M.S. Elston et al. Nuclear accumulation of e-cadherin correlates with loss of cytoplasmic membrane staining and invasion in pituitary adenomas. J. Clin. Endocrinol. Metab. 94(4), 1436–1442 (2009)PubMedCrossRef M.S. Elston et al. Nuclear accumulation of e-cadherin correlates with loss of cytoplasmic membrane staining and invasion in pituitary adenomas. J. Clin. Endocrinol. Metab. 94(4), 1436–1442 (2009)PubMedCrossRef
45.
go back to reference R. Chetty, S. Serra, S.L. Asa, Loss of membrane localization and aberrant nuclear E-cadherin expression correlates with invasion in pancreatic endocrine tumors. Am. J. Surg. Pathol. 32(3), 413–419 (2008)PubMedCrossRef R. Chetty, S. Serra, S.L. Asa, Loss of membrane localization and aberrant nuclear E-cadherin expression correlates with invasion in pancreatic endocrine tumors. Am. J. Surg. Pathol. 32(3), 413–419 (2008)PubMedCrossRef
46.
go back to reference M.L. Gervais et al. Nuclear E-cadherin and VHL immunoreactivity are prognostic indicators of clear-cell renal cell carcinoma. Lab. Invest. 87(12), 1252–1264 (2007)PubMedCrossRef M.L. Gervais et al. Nuclear E-cadherin and VHL immunoreactivity are prognostic indicators of clear-cell renal cell carcinoma. Lab. Invest. 87(12), 1252–1264 (2007)PubMedCrossRef
47.
go back to reference Y. Ohishi et al. Nuclear localization of E-cadherin but not beta-catenin in human ovarian granulosa cell tumours and normal ovarian follicles and ovarian stroma. Histopathology 58(3), 423–432 (2011)PubMedCrossRef Y. Ohishi et al. Nuclear localization of E-cadherin but not beta-catenin in human ovarian granulosa cell tumours and normal ovarian follicles and ovarian stroma. Histopathology 58(3), 423–432 (2011)PubMedCrossRef
48.
go back to reference L. Brüser, S. Bogdan, Adherens junctions on the move-membrane trafficking of E-cadherin. Cold Spring Harb. Perspect Biol. 9(3), a029140 (2017) L. Brüser, S. Bogdan, Adherens junctions on the move-membrane trafficking of E-cadherin. Cold Spring Harb. Perspect Biol. 9(3), a029140 (2017)
49.
go back to reference S. Salahshor et al. Frequent accumulation of nuclear E-cadherin and alterations in the Wnt signaling pathway in esophageal squamous cell carcinomas. Mod. Pathol. 21(3), 271–281 (2008)PubMedCrossRef S. Salahshor et al. Frequent accumulation of nuclear E-cadherin and alterations in the Wnt signaling pathway in esophageal squamous cell carcinomas. Mod. Pathol. 21(3), 271–281 (2008)PubMedCrossRef
Metadata
Title
Distribution of E- and N-cadherin in subgroups of non-functioning pituitary neuroendocrine tumours
Authors
Kristin Astrid B. Øystese
Olivera Casar-Borota
Jon Berg-Johnsen
Jens Petter Berg
Jens Bollerslev
Publication date
08-06-2022
Publisher
Springer US
Published in
Endocrine / Issue 1/2022
Print ISSN: 1355-008X
Electronic ISSN: 1559-0100
DOI
https://doi.org/10.1007/s12020-022-03051-6

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